12th Rib Research Articles

Ultrasound-Guided Deep Serratus Plane Block in Cat Cadavers (Felis catus): A Description of Dye and Contrast Media Distribution.

The serratus plane block is an ultrasound-guided anaesthetic technique that aims to provide analgesia to the lateral thoracic wall cranial to the 8th rib. This block can be performed in a superficial (between the latissimus dorsi and the serratus ventralis thoracis (SVT) muscles) or deep plane (between the intercostales externi and the SVT muscles). This study aimed to assess the distribution and nerve staining of a mixture of 0.4 mL kg-1 of methylene blue and iopromide 50:50 performing a deep serratus plane (DSP) block at the level of the 5th rib. We hypothesise that this technique would be feasible and could stain the rami cutanei laterales (RCL) of the intercostales nerves cranial to the 8th rib in cat cadavers. This study was divided into two phases. Phase 1 consisted of an anatomical study of the thoracic wall (2 cadavers). Phase 2 consisted of the ultrasound-guided injection of the aforementioned mixture and the assessment of its distribution by computed tomography and anatomical dissection (12 cadavers). Contrast media spread a median of 5.5 (2.5-7.5) intercostal spaces. The dye stained a median of 3 (0-5) RCL, affecting RCL 2 (17.39%), RCL 3 (57.17%), RCL 4 (78.26%), RCL 5 (91.30%), RCL 6 (78.26%), and RCL 7 (8.70%) within the DSP. Occasionally, the rami dorsales laterales and the thoracicus longus nerve were stained. Based on these findings, the DSP block performed with a volume of 0.4 mL kg-1 of an anaesthetic could provide analgesia in the area innervated from T4 to T6.

Congenital Diaphragmatic Eventration: Should we Maintain Surgical Treatment? A Retrospective Multicentric Cohort Study

BackgroundThe aims of this study were to describe the characteristics of children with congenital diaphragmatic eventration (CDE) and compare the outcomes of surgical and conservative treatment of pediatric CDE in France. MethodsRetrospective study on cohort data conducted in 22 paediatric surgery departments, including patients less than 16 years of age diagnosed with CDE between 2010 and 2021. Patients with surgical or conservative treatment were compared. Results139 patients were included, with a median age of 8 [1–16] months. CDE occurred in boys in 68.3% and was right-sided in 66.7% of the cases. Indication for treatment depended essentially on respiratory symptoms and level of the diaphragmatic dome. The initial treatment was a surgical, with a diaphragmatic plication, in 87 cases (62%) and conservative, consisting of clinical follow-up in 52 children (38%). Of the latter, 25 children underwent surgery secondarily. Intra- and early post-operative complications occurred in 32 children (29%) and eventration recurrence in 8 children (7%). With a median follow-up of 28 months, the median level of diaphragmatic dome improved from the 6th to the 9th back rib, and the rate of respiratory symptoms decreased from 64% to 14% in the overall cohort of patients. ConclusionsDiaphragmatic plication is effective in symptomatic patients with a dome level above the 6th posterior rib, but is associated with a 29% complication rate and 7% of recurrence. ClinicalTrialsNCT04862494, April 28, 2021. Level of evidencelevel III treatment study.

Secondary Chondrosarcoma of the Rib in a Case of Diaphyseal Aclasis: A Rare Case Report

Hereditary multiple exostosis has a 3%–5% chance of converting into chondrosarcoma. It is a rare case report of a 32-year-old female with hereditary multiple exostosis who presented with pain and progressive swelling over her right chest wall for 3 months. A clinical examination revealed a large globular swelling over her right chest. Imaging revealed a large, ill-defined, aggressive, and exophytic lesion with a thick cartilage cap arising from the 8th rib. The lesion was hypermetabolic and avid on PET CT scan. She underwent a core needle biopsy which showed features of malignant transformation. En-bloc resection of the tumor with 7, 8, and 9 ribs followed by plate and mesh reconstruction was carried out.

Impact of Operating Table Height on the Difficulty of Mask Ventilation and Laryngoscopic View.

Background/Objectives: Airway management techniques, including mask ventilation and tracheal intubation, are vital across medical settings. However, these procedures can be challenging, especially when environmental conditions are less than ideal. This study explores how the height of the operating table affects the difficulty of anesthesia techniques involving mask ventilation and tracheal intubation. Methods: Twenty anesthesiologists participated in this study. We assessed the difficulty of procedures such as mask ventilation, Macintosh laryngoscopy, and video laryngoscopy using McGRATH and AWS, on a four-level scale. The operating table's height was adjusted at four points: the operator's umbilicus, the inferior margin of the 12th rib, the xiphoid process, and the nipple. Results: Mask ventilation was easiest at the operating table's height aligned with the inferior margin of the 12th rib. Conversely, direct laryngoscopic exposure was perceived as easier at higher table heights, with nipple height being optimal. The McGRATH laryngoscopy showed consistent difficulty across table heights, whereas the AWS tended to be somewhat more difficult at greater heights. Conclusions: The optimal bed height for video laryngoscopy coincided with that for mask ventilation. Video laryngoscopy offers enhanced flexibility in optimal patient positioning compared to Macintosh laryngoscopy, contributing to its advantages in tracheal intubation procedures.

7183 Histoplasmosis Of Adrenal In An Immunocompetent Patient From Arizona: A Surprising Biopsy

Abstract Disclosure: R. Habibi: None. S. Penquite: None. N. Ebrahimi: None. R. Cardenas Lara: None. Introduction: Histoplasmosis of adrenal gland in the context of disseminated infection is a rare entity in a non-endemic area. Early diagnosis and treatment can save one’s life. Here we present a case of a patient from Arizona who was referred to us with a large adrenal mass initially resembling malignancy. Presentation: A 58-year-old male with no significant medical history from Bisbee Arizona presented to our clinic with significant weight loss of 120 pounds in 8months, jaundice, fatigue, nausea and vague abdominal pain. He had an abdominal CT scan in a rural area hospital which showed a left adrenal 4.2 x 4.3 x 3.7 cm mass with average HU=40, with interval development from a CT scan 6months prior to that which showed left adrenal 1.5 x 1.3 x 1.3 cm mass. He had the initial CT scan after a mechanical fall. He was experiencing sweating, dizziness and low blood pressure of 90/60 mmhg, but used to have hypertension. Physical examination revealed diffuse jaundice in an ill appearing cachectic individual. Laboratory data were significant for total bilirubin of 4.9, direct bilirubin 0.7. Plasma metanephrines and normetanephrines, 24-hour urine free cortisol, morning cortisol levels and DHEA sulfate were normal. Other findings on the CT scans of head, chest and abdomen were soft tissue thickening between the right posterior 10th and 11th ribs along with hepatosplenomegaly, nodular lung lesions with calcified granuloma, sub centimeter brain lesions within the left putamen/external capsule junction with corresponding mild edema. During the following month after initial visit he developed bilateral tongue masses with dysphagia along with enlarging bilateral adrenal lesions, measuring up to 4.4 cm on the right and 5.2 cm on the left. The patient was admitted to hospital for further extensive work up. He underwent biopsies of left adrenal mass and tongue lesions which demonstrated necrotizing granulomatous inflammation with fungal elements compatible with histoplasmosis. Liposomal amphotericin B was started, which was quickly switched to itraconazole 200mg twice a day once lumbar puncture result was normal. His transient low blood pressures resolved. He was seen in clinic after few weeks with overall improving symptoms. Follow up with imaging of adrenal in few months is planned. He is currently in his third month of treatment for histoplasmosis with itraconazole. Discussion: The presentation of disseminated histoplasmosis can resemble malignancy as illustrated in this case. Southwest of the United States is an unusual geographical area for such infection. Initial unilateral involvement of adrenal as a mass in an immunocompetent individual is also uncommon. Considering dramatic response to antifungal treatment, a clinician should suspect such rare infections when seeing a nonfunctional adrenal mass with rapidly progressive constitutional symptoms. Presentation: 6/3/2024

7159 Brown Tumor As Primary Presentation Of Parathyroid Carcinoma In A Young Female

Abstract Disclosure: S.G. Zachariah: None. R. Anand: None. B.Y. Wong: None. H.J. Lee: None. Title Brown Tumor as Primary Presentation of Parathyroid Carcinoma in a Young Female Introduction/Background: Parathyroid carcinoma (PC) is a rare cause of hyperparathyroidism (HPT) accounting for less than 1% of primary HPT cases. The mean age of PC presentation is 62 years. Long-standing HPT can lead to the formation of osteitis fibrosis cystica (brown tumors). In today’s world of advanced screening, they are an increasingly rare presentation of HPT. We present a case of PC presenting as multiple brown tumors in a young woman. Case: A previously healthy 32-year-old woman presented to the emergency department with right shoulder pain after a mechanical fall. MRI revealed multiple osseous lesions of the proximal humerus, glenoid, and scapula, concerning for possible metastatic malignancy. Notable labs: calcium 13.6 mg/dL [8.5 - 10.5 mg/dL], phosphorus 1.7 mg/dL [2.5 - 4.5 mg/dL], alkaline phosphatase 2,369 U/L [< 130 U/L], 25-OH vitamin D 0.8 ng/mL [30 - 60 ng/mL], and parathyroid hormone greater than 2,500 pg/mL [20-80 pg/mL]. Albumin and renal function were normal. CT chest/abdomen/pelvis showed lytic lesions of the left 7th rib, anterior superior iliac spine (with nondisplaced fracture), pelvis, and sacrum. Subsequent pelvic biopsy showed fragmented bony trabeculae with osteoblastic rimming and rare osteoclasts, fragments of fibrous tissue with few plasma cells and hemosiderin laden macrophages, possibly consistent with brown tumor. On parathyroid ultrasound, a 2.2 cm cystic mass was seen along the left common carotid artery. CT neck confirmed the location and also reported C7-T1 spinal lesions. Calcium levels stabilized with IV fluids and 90 mg IV pamidronate. She underwent a left parathyroidectomy and left hemithyroidectomy with central neck dissection. Pathology was consistent with a low-grade parathyroid carcinoma, with a foci of angioinvasion and capsular invasion without lymph node metastases. The Ki-67 index was less than 1%. Post-operatively, the patient was started on calcium and calcitriol supplementation and did not experience hungry bone syndrome. On further discussion, the patient noted that she had a jaw tumor that was previously biopsied and found to be benign. The patient has since been referred for genetic testing. Conclusion/Clinical Lessons: Both PC and its initial presentation with brown tumors are uncommon. Even more rare is the presentation of both in a young, otherwise healthy female. In this context, it is also important to note that brown tumors can mimic osseous metastases and appropriate biochemical, imaging, and histopathological evaluation is needed. The diagnosis of PC under 40 years of age is uncommon and genetic testing is indicated. Syndromes including multiple endocrine neoplasia type 1, familial isolated hyperparathyroidism, and hyperparathyroidism-jaw tumor syndrome are potential causes of inherited PC. Presentation: 6/3/2024

Effect of Ultrasound-Guided External Oblique Intercostal Block on Postoperative Recovery After Subxiphoid Video-Assisted Thoracoscopic Thymectomy: A Randomized Controlled Trial.

Severe postoperative pain can occur after subxiphoid video-assisted thoracoscopic thymectomy (SVATT), affecting the quality of postoperative recovery. This study aimed to evaluate the effect of ultrasound-guided external oblique intercostal (EOI) block on recovery after SVATT. A total of 60 patients undergoing SVATT were randomly divided into the EOI group (group E, n = 30) and the control group (group C, n = 30). Group E underwent ultrasound-guided bilateral EOI block at the 6th rib level and was injected 20 mL of 0.375% ropivacaine on each side. Group C was injected with 20 mL of 0.9% saline at the same site. After the operation, both groups received a patient-controlled intravenous analgesic (PCIA) pump. The 15-item Quality of Recovery (QoR-15) scores were recorded at 24 hours before surgery (T0), 24 hours after surgery (T3), and 48 hours after surgery (T4). The sufentanil usage in the first 24 hours postoperatively, the remifentanil dosage during surgery, the time of first pressing PCIA, and the cases of rescue analgesia were recorded. The visual analog scale (VAS) scores of patients at 6 (T1), 12 (T2), 24 (T3), and 48 hours (T4) after an operation during rest and coughing were recorded. The dermatomes of the sensory plane, block complications in group E, and the incidence of other postoperative adverse reactions in both groups were also recorded. Compared with group C, the QoR-15 scores of patients were significantly higher at T3 and T4 in the group E. The VAS scores were significantly lower at T1, T2, and T3 during rest and coughing in the group E. The sufentanil usage in the first 24 hours postoperatively, the remifentanil dosage during surgery, and the cases of rescue analgesia were significantly lower in group E, and the time of first pressing PCIA was significantly increased in group E (all P < .05). Ultrasound-guided EOI block can be safely used in patients undergoing SVATT, which can improve the quality of postoperative recovery and reduce postoperative pain.

Comparison of ultra-wide band microwave system and ultrasound in live cattle to predict beef carcase subcutaneous fatness

Ultrasound and ultrawide band microwave system (MiS) were directly compared in their ability to scan live cattle to predict carcase traits. Commercial beef cattle (n = 315) were scanned on farm 0–14 days prior to slaughter. Traits measured were subcutaneous fatness at the P8 site (over the gluteus muscle on the rump, at the intersection of a line through the pin bone parallel to the chine and perpendicular through the 3rd sacral crest) and subcutaneous fatness at the rib fat site (between 12th & 13th rib, ¾ of the length ventrally over the longissimus muscle). The precision of prediction of carcase traits was slightly better using MiS. MiS prediction of P8 fat depth had an average RMSEP of 2.48 mm and R2 of 0.65. The MiS could predict carcase rib fat with an average RMSEP of 2.28 mm and R2 of 0.56. The accuracy of prediction was very similar between the two technologies. When predicting P8, the average bias was smallest using MiS at 0.157 mm, but the average slope was smallest using ultrasound at 0.03 mm. When predicting rib fat, MiS had the smallest average bias at 0.204 mm, and smallest average slope deviation at 0.06 mm. The MiS predicted P8 and rib fat carcase traits with similar precision and accuracy as ultrasound.

Anatomical Study of Abdominal Wall Muscle Innervation to Optimize Retroperitoneal Vascular Approach

INTRODUCTIONDifferent surgical approaches are used in aortic surgery. Retroperitoneal approaches can result in abdominal wall weakness and flank bulging. These approaches often require dissection of the anterolateral or anteromedial muscles of the abdominal wall. During dissection, the underlying nerves are at great risk of injury, which induces significant complications in abdominal wall muscles. Few studies have been conducted to minimize the risk of injury to these nerves. OBJECTIVESThis study aims to describe the trajectory of abdominal muscle motor nerves and their relationship to ribs and other anatomical landmarks. The secondary objective is to optimize surgical approaches by preserving the nerves. METHODWe conducted 12 dissections on fresh cadavers. Nerve trajectories, communication between the intercostal nerves (9th–10th–11th) and the subcostal nerve (12th), and the distance from the nerve to the estimated projection point of intersection with the abdominal midline, umbilicus, and iliac crest was recorded. RESULTSOur dissections identified the 12th subcostal nerve as the largest nerve. The 11th intercostal nerve exhibits more accessory branches than other nerves. Multiple communications and branches were observed between the 10th and 11th intercostal nerves and between the 11th and 12th nerves in the region from the anterior axillary line to the mid-clavicular line. The estimated projection point of intersection with the midline was 7.92 ± 1.24 cm supraumbilical for the 9th intercostal nerve, 3.92 ± 1.18 cm supraumbilical for the 10th, 1.08 ± 1.52 cm at the umbilical level for the 11th, and -3.33 ± 0.83 cm infraumbilical for the subcostal nerve. The distance between the iliac crest and the iliohypogastric nerve in the lateral jackknife position was 2.54 ± 0.65 cm. The 11th nerve had an angle in relation to the rib of between -45° and -10° (average: -24.6°), and the 12th nerve had a similar angle of between -30° and 0° (average: -18.3°). For the 11th nerve, the distance was between 0 and 5.5 cm (average: 2.92 cm); for the 12th nerve, it was between 0 and 3.0 cm (average: 1.71 cm). CONCLUSIONTo preserve the 11th nerve, the optimal approach is a straight incision starting from the upper edge of the 11th rib towards the midline, 4 cm above the umbilicus; for the 12th nerve, the optimal approach is a straight incision starting from the upper edge of the 12th rib towards the midline, 1 cm below the umbilicus; for the iliohypogastric nerve, the optimal approach is an incision close to the iliac crest at a distance <1.5 cm. The estimated projection point of intersection between the nerve directions towards the midline can indicate the anatomical trajectory of nerves. A nerve projection towards the midline can provide valuable information about the anatomical location of a nerve. This study has utility in optimizing surgical approaches. A clinical study can confirm these anatomical results.

EP.14C.07 Hyperossosis of the Right 10th Rib the Osteochondral Part that Compresses the Dexter Lobe of the Liver

EP.14C.07 Hyperossosis of the Right 10th Rib the Osteochondral Part that Compresses the Dexter Lobe of the Liver

A case of salvage surgery following chemoradiotherapy and durvalumab for initially unresectable superior sulcus tumor with N3 involvement

BackgroundDurvalumab after chemoradiation (PACIFIC regimen) provides favorable treatment outcomes for unresectable stage III non-small cell lung cancer (NSCLC). The feasibility of salvage surgery after the PACIFIC regimen has been reported in some studies; however, its efficacy remains unclear. We herein present the first case of salvage surgery after the PACIFIC regimen for a superior sulcus tumor with N3 involvement, in which a pathological complete response was achieved.Case presentationA 53-year-old man with a left superior sulcus tumor with N3 (# 1L, #4R) involvement (adenocarcinoma, clinical T3N3M0/IIIC) underwent concurrent chemoradiotherapy (2 cycles of cisplatin plus vinorelbine with 60 Gy radiotherapy) followed by durvalumab treatment for 1 year at a previous hospital. The PACIFIC regimen provided a significant primary tumor shrinkage (diameter 3.1 cm to 0.5 cm) with the disappearance of 18F-fluorodeoxyglucose uptake in all nodes. Six months after the end of the PACIFIC regimen, only the primary tumor showed enlargement (diameter 0.5 cm to 2.0 cm). Accordingly, local tumor recurrence was suspected. Salvage surgery (left upper lobectomy with combined chest wall resection [1st to 4th rib]) was performed. The histological examination revealed no viable tumor cells (ypT0N0M0). At 7 months after salvage surgery, the patient remains alive with no signs of tumor recurrence.ConclusionsThe present case suggests that salvage surgery may be feasible after the PACIFIC regimen for superior sulcus tumors. A long-term follow-up is essential to determine the efficacy of salvage surgery.

Harvesting Costal Cartilage for Secondary Rhinoplasty: Techniques, Considerations, and Outcomes.

Secondary rhinoplasty is a surgical procedure aimed at reshaping the nose after the unsatisfactory results of primary rhinoplasty, which usually requires a reliable source of cartilage for grafting. Septal cartilage is usually the first option for rhinoplasty, but in cases where it is insufficient, rib cartilage might be used, which is the focus of the current study. The article details the surgical techniques for rib cartilage harvesting, highlighting the preference for the seventh rib done under general anaesthesia. The surgery requires a precise incision, harvesting of the cartilage, and careful closure while the cartilage is stored in a saline solution until use. It also introduces innovative approaches to minimize complications and improve patient satisfaction, including trans-umbilical endoscopic harvesting, the use of the 10th rib to reduce morbidity, and employing fresh frozen homologous rib cartilage as a grafting alternative. Based on various studies, most cases following rhinoplasty with rib cartilage showed a high satisfaction rate despite the complexity of the procedure. Patient consideration includes good communication with realistic expectations through imaging techniques. We also discuss complications, which can heavily impact the patient's quality of life. We hope that by providing this information, our paper will provide surgeons and researchers with the latest information on this topic.

PSXI-2 Impact of flexible prepartum supplementation strategies on cow-calf and subsequent progeny feedlot performance

Abstract Implementation of minimal supplemental protein strategies during late gestation may have the potential to minimize any negative postweaning progeny performance while decreasing feed costs. A 3-yr study was conducted to evaluate the effects of mid- to late-gestation supplementation strategies on reproduction, cow body weight (BW), and calf performance in May-calving mature cows grazing upland native range. Cows received one of 3 supplementation strategies: 1) 0.227 kg/d of a 30% CP distillers-based supplement (HalfSupp), 2) 0.454 kg/d of a 30% CP distillers-based supplement (Supp), or 3) brief and intermittent supplementation of Supp at 0.454 kg/cow based on periods of acute environmental stress, such as snow cover, wet winter events, and is best described as flexible supplementation (Flex). Supplementation was initiated in December each year and terminated approximately 30-d prior to the start of the calving season in April. Across all 3 yr, average supplement feeding rate was 25.5, 50.9, and 5.4 kg/cow during the 112-d supplemental period, which resulted in average yearly prepartum supplemental costs of $27.30, 54.60, and 1.99 for HalfSupp, Supp, and Flex; respectively. After weaning, steers grazed sub-irrigated meadow with a dried distiller grain supplement until May. In May, all steers grazed sub-irrigated meadow without additional supplement until August/September when steers were shipped to West Central Research and Extension Center (WCREC). Steers were placed in a GrowSafe feeding system for the rest of the finishing feeding period. Each year, steers were slaughtered at a commercial facility (Tyson Fresh Meats, Lexington, NE) when estimated visually to have 1.3 cm fat thickness over the 12th rib as a group. Cow BW was not different (P = 0.86) at the initiation of supplementation in Jan. However, cows fed Half had a lighter (P &amp;lt; 0.01) BW at pre-calving and tended (P = 0.08) to have a lighter BW at pre-breeding than their counterparts. After a 45-d breeding season, pregnancy rates were not influenced (P = 0.91) by prepartum supplementation strategies. Prepartum supplementation strategies did not influence (P &amp;gt; 0.56) preweaning calf BW at birth, pre-breeding, and weaning. In addition, steer backgrounding BW was also not influenced (P &amp;gt; 0.63) by prepartum supplementation strategy of their dam. Upon entry into the feedlot, steer BW was not impacted (P &amp;gt; 0.84) by prepartum supplementation strategy of their dam. Feedlot performance (BW, average daily gain, and feed efficiency) was not influenced (P &amp;gt; 0.59) by prepartum supplementation strategy of their dam. After harvest, all carcass characteristics were not impacted (P &amp;gt; 0.11) by the prepartum supplementation strategy of the dam. Considering the cost for prepartum supplementation, feeding a protein supplement just during environmentally stressful periods during gestation appears to be a viable alternative to more conventional methods and reduces winter feed costs.

PSVII-20 Effect of starch content in the concentrate of finishing bison on meat nutritional composition, quality, and palatability

Abstract According to the Saskatchewan Bison Association, in the last few years producers have not been able to fill the increasing demand for bison meat. Indeed, one of the main challenges faced by the bison industry is their ability to produce a consistent product in a relatively short period of time. Hence, it is necessary to optimize the productivity and profitability of feeding bison calves while ensuring the quality of the end product. This study aimed to evaluate the effects of different starch contents in the concentrate of finishing bison on meat nutritional composition, quality, and palatability. Yearling bison bulls [n = 48; commercial Wood × Plains, 435 ± 13.4 kg body weight (BW)] were homogenously distributed into 12 pens (4 bulls/pen) based on BW, and each pen randomly assigned (n = 6) to receive either a high- [51.4% dry matter basis (DM); n = 24 bison bulls) or moderate-starch (25.8% DM; n = 24 bison bulls) concentrate, alongside free access to water and grass hay bales. After 156 d of feeding, bison bulls were slaughtered in a commercial abattoir in AB, Canada. At 3 d postmortem, color values were measured at the ribeye between the 11 and 12th ribs. Subsequently, striploins from the left carcass sides were collected, weighed, vacuum packaged, and transported under refrigeration conditions to the AAFC-Lacombe Research and Development Centre, AB, Canada. On d 6 of ageing, striploins were unpacked and weighed to measure purge losses, and pH was collected. Subsequently, six 2.5-cm thick steaks were obtained for further nutritional analyses (minerals, cholesterol, vitamin B3, protein, fat, moisture, and fatty acids), shear force, color in retail display for 4 d, and descriptive sensory and flavor profile analyses performed by trained panelists. The dietary starch content did not affect the nutritional composition as well as the pH, 3-d color values, moisture losses, and shear force value of the bison meat (P &amp;gt; 0.1). However, the high-starch concentrate increased the meat luminosity (L*) after 4 d in retail display (P &amp;lt; 0.05) and initial and overall tenderness (P &amp;lt; 0.001), and decreased the amount of perceived connective tissue (P &amp;lt; 0.001). Additionally, spongy and rubbery textures were less frequently found by trained panelists in meat from bison fed a high-starch than a moderate-starch concentrate (P &amp;lt; 0.01 and 0.05, respectively). Regarding meat flavor, the high-starch concentrate decreased salty taste (P &amp;lt; 0.05) and burnt and livery aromas (P = 0.071 and 0.069, respectively) but increased metallic flavor (P &amp;lt; 0.01) and bitter taste (P = 0.076). In conclusion, the starch content in the concentrate of finishing bison did not affect the meat nutritional value. However, some positive effects on meat color and palatability were found when feeding bison a high-starch concentrate.

PSXIII-7 Effects of whole corn on gain and subsequent feedlot and carcass traits of Brahman steers stocked on Tifton 85 bermudagrass

Abstract Supplementation (SUP) of stocker calves is used to enhance gain and/or adjust for stocking rates (SR). Our objective was to determine the influence of whole corn on performance of steers stocked on Tifton 85 bermudagrass [Cynodon dactylon (L.) Pers. X Cynodon nlemfuensis Vanderyst] (T85) that has documented forage crude protein ranging from 18.5% in June to 13.5% in September. For a 3-yr period, Brahman (Bos indicus) steers, 15 mo old and 275 kg body weight (BW), were stocked on T85 and received daily whole corn at 0 (PAS), 0.3% BW (SUP3), or 0.6% BW (SUP6). A fourth treatment included SUP6 at an increased stocking rate (SUP6SR). The 3-yr average SR of 275 kg steers was 11 steersּ ha-1 on PAS, SUP3, and SUP6, and 15 steersּ ha-1 on SUP6SR. Average daily gain (ADG) was similar for SUP steers at 0.98 kgּ d-1 (SUP6), 0.92 kgּ d-1 (SUP3), and 0.92 kgּ d-1 (SUP6SR), but greater (P = 0.002) than PAS steers at 0.84 kgּ d-1. Steer gainּ ha-1 was greatest (P = 0.001) for SUP6SR at 1230 kgּ ha-1. Gain ha-1 was similar for SUP6 and SUP3 at 1,010 kgּ ha-1 and 941 kgּ ha-1, respectively, and similar for SUP3 and PAS (860 kg-1). Body weights off pasture tended to be greater (P = 0.083) for all SUP steers at 370 kg than PAS steers at 354 kg. Body condition score off pasture was similar for all SUP steers at 5.7 and different (P = 0.001) from PAS steers at 5.2. At termination of stocking, steers were shipped 700 km to a commercial feedlot in South Texas. Each year, steers were fed in the same pen until a visual assessment of about 1.25 cm backfat was attained. Days on feed were similar for all steers at 190 d. Feedlot ADG was similar for steers on SUP3 (1.36 kgּ d-1), PAS (1.34 kgּ d-1), and SUP6SR (1.29 kgּ d-1), but greater (P = 0.045) than steers on SUP6 (1.24 kg d-1). These feedlot ADG exhibited some compensatory gain effects from pasture treatments. Off feedlot weights were similar at 620 kg. Steers were transported 60 km to an abattoir for harvest and carcass trait evaluations. There were no differences across treatments for steer hot carcass weight, 367 kg; 12th rib fat thickness, 1.13 cm; marbling score, 395; calculated yield grade, 3.10; longissimus dorsi area, 85.02 cm2; or internal fat (kidney-pelvic-heart), 1.92%. With SUP:extra gain at 12.5:1 for SUP3 and 13.8:1 for SUP6, supplementation of whole corn for Brahman steers stocked on T85 was not as efficient as previous T85 x SUP experiments with DDGS, but may offer management options for specific cattle classes and ownership-stocking strategies.

Undegradable dietary protein limits growth and carcass yields in crossbred Boer kids fed Desmanthus hay or Rhodes grass (Chloris gayana) hay supplemented with urea and/or cottonseed meal

Context Low-protein tropical forages required protein supplementation, which might affect growth of meat goats. Aims This study was aimed to compare liveweight gain, carcass/non-carcass yields and meat quality in crossbred Boer kids fed isonitrogenous diets varying in undegradable (UDP) and rumen-degradable (RDP) dietary protein sources. Methods Twenty-five female crossbred Boer kids were randomly allocated into the following five dietary treatments: Rhodes grass (Chloris gayana) hay supplemented with urea (U), urea plus cottonseed meal (UCSM), cottonseed meal (CSM), gliricidia (Gliricidia sepium) (Gliri) or Desmanthus (Desmanthus leptophyllus) only (Desman). The diets were formulated to supply 135 and 195 g crude protein/kg DM for the two experiments. Experiment 1 lasted 78 days and the dietary UDP:RDP ratio (g/kg DM) was 35:102 (U), 37:100 (UCSM), 40:97 (CSM), 55:82 (Desman) and 46:91 (Gliri). Experiment 2 lasted 138 days and the dietary UDP:RDP ratio (g/kg DM) was 45:150 (U), 52:143 (UCSM), 58:137 (CSM), 83:112 (Desman) and 71:124 (Gliri) respectively. Data were subjected to one-way ANOVA and general linear model. Key results After 138 days of supplementation, the Desman goats had the highest liveweight gain (83 g/day) and heaviest cold carcass weight (12.1 kg) in Experiment 2. This was followed, in descending order, by CSM (58 g/day and 9.6 kg), UCSM (48 g/day and 7.8 kg), Gliri (41 g/day and 7.6 kg) and U (6 g/day and 6.0 kg). Heavier carcass weight was associated with larger eye-muscle area and fat depth at the 12th rib. Aus-meat Beef Colour Standard scores of 3–4 for the eye muscle of the Desman and CSM goats compared with scores of 1C-2 in the other goats meant that the darker meat in Desman and CSM diets was associated with heavier carcass weight and a more rapid rate of decline in carcass pH. Conclusions Crossbred Boer kids fed high dietary UDP had higher intakes of UDP, RDP, metabolisable protein (MP) and metabolisable energy (ME), even though an isonitrogenous diet was offered. The Desman kids had higher liveweight gain, heavier carcass yield, greater eye-muscle area, thicker fat depth and heavier mass of non-carcass components. Implications The higher liveweight gain and carcass/non-carcass yields for Desman goats than for others was associated with increased DM, UDP, RDP, MP and ME intakes.

Dietary inositol supplementation improves meat quality by modulating amino acid metabolism and gut microbiota composition of finishing pigs

Intramuscular fat (IMF) content influences various meat quality traits, including tenderness, flavor, juiciness and nutritional value. This study aimed to investigate the effects of dietary inositol supplementation on meat quality, metabolic profiles, and gut microbiota composition of finishing pigs. A total of 144 finishing pigs (initial body weight 70.41 ± 0.78 kg) were randomly divided into control, 0.075%, 0.15%, and 0.3% inositol groups. The data showed that inositol increased backfat thickness at the 6th to 7th rib and 10th rib, IMF content, and improved tenderness (P ≤ 0.05, n = 8). Paralleling an increase in fat deposition, 0.3% inositol also increased the protein level of PPARγ in the subcutaneous fat (P ≤ 0.05) and longissimus thoracis (LT) muscle (P = 0.062). Inositol elevated the content of amino acids in LT muscle and enhanced amino acid metabolism of finishing pigs, including lysine degradation, tyrosine metabolism, and arginine and proline metabolism. The 16S ribosomal RNA (rRNA) sequencing showed that 0.3% inositol supplementation altered the profiles of microbes in the colon, particularly decreasing the abundance of Firmicutes (P < 0.01) and increasing the abundance of Bacteroidota (P ≤ 0.05). Correlation analysis showed that differential microbes had strong correlation with differential metabolites in serum, including amino acids. In conclusion, this study demonstrated that dietary inositol supplementation could effectively improve IMF content and tenderness of pork, enhance amino acid metabolism, and regulate gut microbiota composition of finishing pigs.

Neither Carinatum nor Excavatum: Insights Regarding the Novel Postprematurity Thoracic Dysplasia and Traditional Harrison Grooves

Background/purposeIn recent years, a new chest wall malformation (CWM), the postprematurity thoracic dysplasia (PPTD), was reported. It was characterized as an inward deviation of the anterior tips of the 6th ribs and a personal history of prematurity and respiratory distress. At the moment, PPTD's prevalence and etiology are yet to be defined. Thus, we aimed to explore and identify patients with a compatible morphology within a large cohort of patients with CWM. MethodsRetrospective analysis of electronic health records including medical photographs of 4640 consecutive patients with chest wall malformations at our Pectus Clinic between 2002 and 2023. Patients presenting with bilateral inward curvature of the 6th to 8th ribs were included. Among the variables analyzed, the history of preterm birth and ventilatory support requirement were evaluated. ResultsFrom 2069 patients with non-excavated deformities, 29 (1.4%) patients presented a PPTD morphology. After excluding 12 for incomplete records, we found that 9 patients (52.9%) had a positive history of prematurity (group PT) and 8 (47.1%) didn't (group T). However, both groups showed a high incidence of respiratory comorbidities (PT: 89% vs. T: 76%, p = 0.91). The median age of deformity onset was 12 months (IQR 2; 12) and 24 months (IQR 1; 60) for the PT and T groups, respectively (p = 0.37). Both groups showed a low incidence of family history of CWM (PT: 38% and T: 14%, p = 0.57). ConclusionsIn this retrospective study including 4640 patients with chest wall malformations, the presence of a phenotype described as postprematurity thoracic dysplasia was similarly distributed among patients with or without a history of prematurity. We hypothesize that this condition, different from pectus excavatum and carinatum, might correspond to the Harrison grooves, a deformity whose etiology was profusely discussed in the medical literature from the first half of the 20th century. Type of studyComparative retrospective study. Level of evidenceIII.

Comparison of Post–Operative Hydrothorax in Supra 12th Rib Versus Infra 12th Rib Access in Prone Mini Percutaneous Nephrolithotomy

Objective: To determine the risk of post-operative hydrothorax in supra-12th rib versus infra-12th rib access in prone Mini Percutaneous Nephrolithotomy. Study Design: Quasi-experimental study. Place and Duration of Study: Armed Forces Institutes of Urology, Rawalpindi Pakistan from Jun to Dec 2022. Methodology: In our study, 110 patients underwent assessment for indication of Percutaneous Nephrolithotomy, level of access, anatomy, site of puncture, incidence of hydrothorax, and requirement of closed-tube thoracostomy. Results: Of the 110 patients who underwent prone Percutaneous Nephrolithotomy, 55(50%) patients underwent infra 12th rib tract approach (Group-1), and the rest, 55(50%) underwent supra 12th rib tract approach (Group-2) depending upon the location of stones, anatomy of pelvicalyceal system and stone burden. Overall, 10(9.09%) patients developed post- Percutaneous Nephrolithotomy Hydrothorax; out of these ten patients, 8(14.5%) patients were approached from the supra 12th rib tract and the remaining 2(3.6%) patients were approached from the infra 12th rib tract (p-value=0.047). Conclusion: The study concludes that in prone Percutaneous Nephrolithotomy, infra-12th rib tract renal access is safer than supra-12th rib renal access regarding chest complications (Hydrothorax).

Splicing of Helix Framework in Modified Nagata Method Stage I for Auricle Reconstruction in Patients With Insufficient 8th Rib Cartilage.

The 8th rib cartilage was sometimes insufficient to construct a complete external helix in ear reconstruction for microtia. The aim of this study was to investigate the splicing technique of 8th rib cartilage in modified Nagata method stage I. Between September 2022 and May 2023, 231 consecutive patients with microtia underwent auricular reconstruction with modified Nagata method stage I. Thirty-four patients with insufficient 8th rib cartilage were screened out by three-dimensional (3D) computed tomography preoperatively, who were included in the study prospectively. The 8th rib was spliced to create the external helix when fabricating the ear framework in the stage I surgery for the 34 patients. The median duration of follow-up was 12.1 months (8-15 months). There were no perioperative complications in our study. During follow-up, all patients had satisfying outcomes, with no inward collapse, displacement, or absorption of the spliced external helix. The splicing point was not obvious. It was safe and effective to splice the 8th rib cartilage for external helix of the cartilage framework in ear reconstruction for microtia.